The Indiana Archives and Records Administration (IARA) assists State and local governments in the cost-effective, efficient and secure management of governmental records, by providing services throughout the life cycle of records, including creation, use, storage, and disposition.
Forms & Documents
Browse all Family and Social Services Administration government forms
221 - 240 of 300 forms
| Form Title | Topics |
|---|---|
| Provider Authorization | Family And Social Services Administration |
| Provider Client Contact Log - Indiana Access to Recovery | Family And Social Services Administration |
| Provider Demographic | Family And Social Services Administration |
| Provider Questionnaire | Family And Social Services Administration |
| Provider Recertification Checklist | Family And Social Services Administration |
| Provider Reciprocal Consent to Release and Share Information | Family And Social Services Administration |
| Provider Response Document | Family And Social Services Administration |
| Provider Standards Agency Survey | Family And Social Services Administration |
| QMRP Certification for ICF / MR Level of Care Waiver | Family And Social Services Administration |
| Quality Assurance Plan of Correction | Family And Social Services Administration |
| Quarterly IFSP Review Cover Sheet | Family And Social Services Administration |
| Reason for Delay of IFSP | Family And Social Services Administration |
| Record of Financial Eligibility Budget For Hoosier Healthwise | Family And Social Services Administration |
| Record of Health Care Representative | Family And Social Services Administration |
| Record of Training | Family And Social Services Administration |
| Recovery Consultant Client Contact Log Progress Report - Indiana Access to Recovery (ATR | Family And Social Services Administration |
| Recovery Support Client Contact Log - Indiana Access to Recovery (ATR | Family And Social Services Administration |
| Referral | Family And Social Services Administration |
| Referral for Services for the Blind and Visually Impaired | Family And Social Services Administration |
| Refusal to Admit Committed Person | Family And Social Services Administration |
Contact Information & Office Locations
1 contact point
IARA Central Office (Records and Forms Management)
Address:
IARA Central Office (Records and Forms Management):
402 W. Washington Street
Room W472
Indianapolis, IN 46204-2744
- (317) 232-3380 (IARA Central Office (Records and Forms Management))
- (317) 591-5222 (Indiana State Archives)
- (317) 233-3746 (State Imaging and Microfilm Lab)
- (317) 591-5326 (Records Center)
- (317) 233-1713 (IARA Central Office (Records and Forms Management))
- (317) 591-5324 (Indiana State Archives)
- (317) 591-5328 (Records Center)